Höhne Julius, Brawanski Alexander, Schebesch Karl-Michael
Department of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany.
Surg Neurol Int. 2016 Dec 5;7(Suppl 39):S955-S957. doi: 10.4103/2152-7806.195234. eCollection 2016.
Up to now, the feasibility and benefit of using fluorescein sodium under a dedicated surgical microscope filter (YE560, YELLOW 560 nm filter, Carl Zeiss Meditec, Germany) has never been clinically evaluated in infectious disorders of the brain.
Here, we report the case of a male patient with a brain abscess in the right parietal lobe that was removed under fluorescence-guidance (intravenous administration of fluorescein sodium 10%, 5 mg/kg bodyweight). The abscess capsule showed intensive yellow fluorescent staining, while - under white light - the cortex appeared normal.
This technique may improve the identification and surgical removal of brain abscesses.
迄今为止，在专用手术显微镜滤光片（YE560，黄色560纳米滤光片，德国卡尔蔡司医疗技术公司）下使用荧光素钠的可行性和益处从未在脑部感染性疾病中进行过临床评估。
在此，我们报告一例右侧顶叶脑脓肿男性患者的病例，该脓肿在荧光引导下（静脉注射10%荧光素钠，5毫克/千克体重）被切除。脓肿包膜呈现强烈的黄色荧光染色，而在白光下，皮层看起来正常。
该技术可能会改善脑脓肿的识别和手术切除。
